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Rontgenblatter. 1979 Jan;32(1):39-45.

[Lumbar myelography with methylglucamine-iocarmate (dimer-x). A critical review of neurological complications (author's transl)].

[Article in German]


A critical literature review is presented on the basis of our own clinical experiences with complications and distressing side effects of the lumbar Dimer-X myelography. Severe Complications such as spinal and conuscauda-symptoms, epileptic seizures, amnestic episodes and late palsies of the Abducens nerve in literature range between 1 and 9%. Unspecific side effects which cannot clearly be differentiated from pure post-lumbal puncture complaints are reported to occur in up to 28%. The probably underlying pathogenetic mechanisms are discussed together with former animal experiments which revealed a local toxity of the contrast medium at the central nervous tissue and the surrounding membranes.

[PubMed - indexed for MEDLINE]
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